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Assessing pulp stones by cone-beam computed tomography

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Abstract

Objectives

The aim of this study was to evaluate the occurrence of pulp stones by cone-beam computed tomography (CBCT) and to correlate their prevalence with patient’s gender, location of tooth (right or left of maxillary or mandibular arch), group of teeth, and restorations.

Materials and methods

CBCT images of 382 patients randomly selected from the database of the University Oral Radiology Department were retrospectively examined. A total of 2833 tooth images obtained using the i-CAT 3D Imaging System were evaluated. Image analysis was performed with the i-CAT software, and all teeth were evaluated in sagittal, axial, and coronal views. All the measurements were subjected to chi square test, odds ratio, and Fisher’s exact tests (p < 0.05).

Results

The prevalence of pulp stones was similar between patient’s genders and tooth locations. Pulp stones were detected in 31.9% of patients and 9.5% of teeth. Maxillary and mandibular molars were the groups of teeth with the highest frequency of pulp stones. The presence of restorations increased the chance of occurrence of pulp stones by 2.1 times in all teeth examined (p < 0.0001) and by 4.7 times in maxillary teeth (p < 0.0001).

Conclusions

Pulp stones had a high prevalence with molar teeth showing the highest prevalence. The presence of restorations increased the chance of occurrence of these calcifications, specifically in maxillary teeth.

Clinical relevance

CBCT provides accurate anatomical details in three dimensions, offering the possibility to view an individual tooth in axial, sagittal, and coronal views. This study performed an investigation of the occurrence of pulp stones by CBCT.

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References

  1. Johnson PL, Bevelander G (1956) Histogenesis and histochemistry of pulpal calcification. J Dent Res 35:714–722

    Article  PubMed  Google Scholar 

  2. Moss-Salentijn L, Hendricks-Klyvert M (1988) Calcified structures in human dental pulps. J Endod 14:184–189

    Article  PubMed  Google Scholar 

  3. Goga R, Chandler NP, Oginni AO (2008) Pulp stones: a review. Int Endod J 41:457–468

    Article  PubMed  Google Scholar 

  4. Le May O, Kaqueler JC (1991) Scanning electron microscopic study of pulp stones in human permanent teeth. Scanning Microsc 5:257–267

    PubMed  Google Scholar 

  5. Piattelli A (1992) Symmetrical pulp obliteration in mandibular first molars. J Endod 18:515–516

    Article  PubMed  Google Scholar 

  6. Kannan S, Kannepady SK, Muthu K, Jeevan MB, Thapasum A (2015) Radiographic assessment of the prevalence of pulp stones in Malaysians. J Endod 41:333–337

    Article  PubMed  Google Scholar 

  7. Berès F, Isaac J, Mouton L et al (2016) Comparative physicochemical analysis of pulp stone and dentin. J Endod 42:432–438

    Article  PubMed  Google Scholar 

  8. Sayegh FS, Reed AJ (1968) Calcification in the dental pulp. Oral Surg Oral Med Oral Pathol 25:873–882

    Article  PubMed  Google Scholar 

  9. Chandler NP, Pitt Ford TR, Monteith BD (2003) Coronal pulp size in molars: a study of bitewing radiographs. Int Endod J 36:757–763

    Article  PubMed  Google Scholar 

  10. Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K (2015) Cone beam computed tomography in endodontics—a review. Int Endod J 48:3–15

    Article  PubMed  Google Scholar 

  11. Ball RL, Barbizam JV, Cohenca N (2013) Intraoperative endodontic applications of cone-beam computed tomography. J Endod 39:548–557

    Article  PubMed  Google Scholar 

  12. Dutra KL, Haas L, Porporatti AL et al (2016) Diagnostic accuracy of cone-beam computed tomography and conventional radiography on apical periodontitis: a systematic review and meta-analysis. J Endod 42:356–364

    Article  Google Scholar 

  13. Silva EJ, Castro RW, Nejaim Y et al (2016) Evaluation of root canal configuration of maxillary and mandibular anterior teeth using cone beam computed tomography: an in-vivo study. Quintessence Int 47:19–24

    PubMed  Google Scholar 

  14. Patil SR (2015) Prevalence of and relationship between pulp and renal stones: a radiographic study. J Oral Biol Craniofac Res 5:189–192

    Article  PubMed  PubMed Central  Google Scholar 

  15. Ibarrola JL, Knowles KI, Ludlow MO, McKinley IB Jr (1997) Factors affecting the negotiability of second mesiobuccal canals in maxillary molars. J Endod 23:236–238

    Article  PubMed  Google Scholar 

  16. Verma KG, Juneja S, Randhawa S, Dhebar TM, Raheja A (2015) Retrieval of iatrogenically pushed pulp stone from middle third of root canal in permanent maxillary central incisor: a case report. J Clin Diagn Res 9:ZD06–ZD07

    PubMed  PubMed Central  Google Scholar 

  17. Moss-Salentijn L, Hendricks-Klyvert M (1983) Epithelially induced denticles in the pulps of recently erupted, noncarious human premolars. J Endod 9:554–560

    Article  PubMed  Google Scholar 

  18. Baghdady VS, Ghose LJ, Nahoom HY (1988) Prevalence of pulp stones in a teenage Iraqi group. J Endod 14:309–311

    Article  PubMed  Google Scholar 

  19. Gulsahi A, Cebeci AI, Ozden S (2009) A radiographic assessment of the prevalence of pulp stones in a group of Turkish dental patients. Int Endod J 42:735–739

    Article  PubMed  Google Scholar 

  20. Hamasha AA, Darwazeh A (1998) Prevalence of pulp stones in Jordanian adults. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:730–732

    Article  Google Scholar 

  21. Ranjitkar S, Taylor JA, Townsend GC (2002) A radiographic assessment of the prevalence of pulp stones in Australians. Aust Dent J 47:36–40

    Article  PubMed  Google Scholar 

  22. Tomczyk J, Komarnitki J, Zalewska M, Wiśniewska E, Szopiński K, Olczyk-Kowalczyk D (2014) The prevalence of pulp stones in historical populations from the middle Euphrates valley (Syria). Am J Phys Anthropol 153:103–115

    Article  PubMed  Google Scholar 

  23. Talla HV, Kommineni NK, Yalamancheli S, Avula JS, Chillakuru D (2014) A study on pulp stones in a group of the population in Andhra Pradesh, India: an institutional study. Conserv Dent 17:111–114

    Article  Google Scholar 

  24. Udoye C, Sede M (2011) Prevalence and analysis of factors related to occurrence of pulp stone in adult restorative patients. Ann Med Health Sci Res 1:9–14

    PubMed  PubMed Central  Google Scholar 

  25. Le May O, Kaqueler JC (1993) Electron probe micro-analysis of human dental pulp stones. Scanning Microsc 7:267–271

    PubMed  Google Scholar 

  26. Aslantas EE, Buzoglu HD, Karapinar SP et al (2016) Age-related changes in the alkaline phosphatase activity of healthy and inflamed human dental pulp. J Endod 42:131–134

    Article  PubMed  Google Scholar 

  27. Sener S, Cobankara FK, Akgünlü F (2009) Calcifications of the pulp chamber: prevalence and implicated factors. Clin Oral Investig 13:209–215

    Article  PubMed  Google Scholar 

  28. Tamse A, Kaffe I, Littner MM, Shani R (1982) Statistical evaluation of radiologic survey of pulp stones. J Endod 8:455–458

    Article  PubMed  Google Scholar 

  29. Fanibunda KB (1986) A method of measuring the volume of human dental pulp cavities. Int Endod J 19:194–197

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors deny any conflicts of interest related to this study. Dr. Emmanuel JNL Silva, is eligible with a JCNE grant from FAPERJ, Rio de Janeiro, Brazil. This study was partially funded by FAPERJ grant E-26/010.001243/2015.

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Authors and Affiliations

  1. Department of Endodontics, School of Dentistry, Grande Rio University (UNIGRANRIO), Rua Herotides de Oliveira, 61/902. Icaraí, Niterói, RJ, Brazil

    Emmanuel João Nogueira Leal da Silva & Marina C. Prado

  2. Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas, Piracicaba, SP, Brazil

    Polyane M. Queiroz, Yuri Nejaim, Danieli M. Brasil & Francisco Haiter-Neto

  3. Department of Physiological Sciences, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil

    Francisco Carlos Groppo

Authors
  1. Emmanuel João Nogueira Leal da Silva
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  2. Marina C. Prado
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  3. Polyane M. Queiroz
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  4. Yuri Nejaim
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  5. Danieli M. Brasil
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  6. Francisco Carlos Groppo
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  7. Francisco Haiter-Neto
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Corresponding author

Correspondence to Emmanuel João Nogueira Leal da Silva.

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

Dr. Emmanuel JNL Silva is eligible with a JCNE grant from FAPERJ, Rio de Janeiro, Brazil. This study was partially funded by FAPERJ grant E-26/010.001243/2015.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

For this type of study, formal consent is not required.

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da Silva, E.J.N.L., Prado, M.C., Queiroz, P.M. et al. Assessing pulp stones by cone-beam computed tomography. Clin Oral Invest 21, 2327–2333 (2017). https://doi.org/10.1007/s00784-016-2027-5

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  • DOI: https://doi.org/10.1007/s00784-016-2027-5

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